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NRS-490 Literature Review: Treatment of Hypertension


Hypertension, also known as high blood disease pressure is a serious condition that ultimately results in damaging of blood vessels leaving an individual prone to heart attack, stroke, and other conditions. Various factors increase the likelihood of developing the disease they include obesity, consumption of a lot of salt, diabetes, smoking, alcohol intake among others. Globally, hypertension results in the death of millions of people, but with the right administration, the mortality rates can be reduced. Treatment of hypertension is diverse including lifestyle changes and treatment through drug therapy. Medication entails various drugs ranging from thiazide diuretics, Beta blockers, Angotenism- Converting enzymes (ACE), Calcium Channel Blockers among others. Lifestyle approach in the treatment of hypertension involves intake of healthy diets, quitting smoking, physical exercise, reducing alcohol intake, among others (Khatib, 2012). NRS-490 Literature Review: Treatment of Hypertension.

A Comparison of the Research Questions


Comparison falls into either a patient with hypertension using drugs to treat the hypertension or a lifestyle approach. Lifestyle modification is a crucial long-term step in the management of hypertension even in the presence of drug therapy and may reduce or even reduce the need for anti-hypertensive drugs. Also, lifestyle changes in the management of high blood pressure can be essential in treating other chronic illness. Lifestyle changes include eating dietary approaches which involve developing a healthy pattern as well as reducing salt intake. Furthermore, quitting smoking assists in reducing cardiovascular risks while reduced alcohol consumption results to lower systolic blood pressure in patients with hypertension. Physical exercise is critical in lowering systolic blood pressure (Huang, Duggan, & Harman, 2006). In contrast, patients can use drug therapy in the treatment of hypertension and help avoid cardiovascular within half a year. Diuretics are the most utilized drugs in the treatment of hypertension; the original anti-hypertensive drugs are vital in lowering the blood pressure and increasing the effectiveness of other antihypertensive agents. Angiotensin Converting Enzyme Blockers, Calcium Channel Blockers, Beta Blockers are also used in the treatment of diabetes (Williams, Lawerence, Fanorow, & Go, 2010). NRS-490 Literature Review: Treatment of Hypertension.

A comparison of sample populations

The sample population entails male grown-ups between the ages of 40-70 years who can either undertake drug therapy or lifestyle management of hypertension. Patients who undergo drug treatment have a low chance of suffering from cardiovascular risks compared to men who are not untreated. Use of antihypertensive drugs is crucial in treating level 2 and 3 of hypertension. Randomized clinical trials carried out on men have helps reduce the chance of stroke and coronary risks. Also, the use of evidence-based technology has also been vital in reducing the level of SBP and DBP making it possible to initiate medication. However, treatment of people within the age of 40-55 years differs with that of men between the ages of 55-70 years. In contrast, men who undertake lifestyle changes as a treatment method for hypertension have to put in place long-term strategies to ensure they adequately address the disease (Williams, Lawerence, Fanorow, & Go, 2010). Lifestyle changes might not be an effective method of treatment especially in serious condition and may require the incorporation of two or more anti-hypertensive drugs. Men between the ages of 40-50 year are suitable for this method, as most have the energy to take up regular physical exercises which are vital in the addressing the disease. Lifestyle changes for men involve changing eating habits, quitting smoking, reduced alcohol intake, sodium restriction among others (Huang, Duggan, & Harman, 2006). NRS-490 Literature Review: Treatment of Hypertension.

A comparison of limitation of study

The research on the effectiveness of both the use of drug therapy and lifestyle modification in the treatment of hypertension has limitations. One, Drug therapy entails the use of various drugs which make it difficult to determine the effectiveness of each medication used in the treatment of the disease. Also, the presence of other existing ailments in some of the patients makes it hard to determine the effectiveness of most anti-hypertensive in the treatment of hypertension since most are also administered to treat the conditions as well. The outcomes of lifestyle changes in the treatment and management of hypertension are impossible to measure as they are long no tangible methods to indicate proof of the changes. Lastly, on some occasions, patients have to be administered with anti-hypertensive which makes it difficult to determine the effectiveness of lifestyle changes as the treatment method for hypertension. NRS-490 Literature Review: Treatment of Hypertension.

Hypertension is among the leading causes of heart attacks, strokes, and other complications. With the right interventions in place, the disease can be managed and treated; hypertension treatment takes into account two forms of treatment including the use of anti-hypertensive drugs as well as lifestyle modifications. Anti-hypertensive drugs used include diuretics, angiotensin, converting enzymes blockers, beta blockers among others each of the drugs work differently, but all ultimately result in lowering the blood pressure. Lifestyle changes are also crucial in management and treatment of the disease especially in reducing cardiovascular risks and lowering the blood pressure. I recommend the research to utilize different studies and findings from other research carried out in the past to elaborate the differences and effectiveness of the methods in the treatment of high blood pressure. NRS-490 Literature Review: Treatment of Hypertension.

Huang, N., Duggan, K., & Harman, J. (2006). Lifestyle Management of Hypertension. Australian Prescriber , 150-156. NRS-490 Literature Review: Treatment of Hypertension.

Khatib, O. M. (2012). Clinical Guideline for the Management of Hypertension. New York: World Health Organization.

Williams, K. A., Lawerence, W., Fanorow, G. C., & Go, A. S. (2010). An Effective Approach to High Blood Pressure Control. American Heart Association , 885-894. NRS-490 Literature Review: Treatment of Hypertension.

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NRS 493 Literature Review Table

Literature evaluation table.

Change Topic (2-3 sentences): 

The change project aims to implement multi-modal intervention including increased nurse to patient ratio, self-efficacy (Montgomery et al., 2021), stress-management and coping strategies (Kuritsyn & Fomichev, 2020), and support to reduce burnout, health care errors, cost of care, and increase satisfaction and quality care (Magtibay et al., 2017). 


ALmutairi, M., & El.Mahalli, A. (2020). Burnout and coping methods among emergency medical services professionals.  Journal Of Multidisciplinary Healthcare ,  Volume 13 , 271-279.  

Bruyneel, A., Smith, P., Tack, J., & Pirson, M. (2021). Prevalence of burnout risk and factors associated with burnout risk among ICU nurses during the COVID-19 outbreak in French speaking Belgium.  Intensive And Critical Care Nursing ,  65 , 103059.  

Guixia, L., & Hui, Z. (2020). A Study on burnout of nurses in the period of COVID-19.  Psychology And Behavioral Sciences ,  9 (3), 31.  

Gutsan, E., Patton, J., Willis, W., & Coustasse, A. (2018). Burnout syndrome and nurse-to-patient ratio in the workplace.  MGMT Research . Retrieved 29 July 2021, from . 

Ivanić, D., Adam, V., Srzić, I., Stepić, A., & Pintarić, H. (2017). Burnout syndrome in emergency medicine.  Hong Kong Journal Of Emergency Medicine ,  24 (6), 290-297.  

Kuritsyn, M., & Fomichev, D. (2020). Emotional burnout syndrome in workers of emergency medical services.  Medsestra (Nurse) , (11), 53-57.  

Magtibay, D., Chesak, S., Coughlin, K., & Sood, A. (2017). Decreasing stress and burnout in nurses.  JONA: The Journal Of Nursing Administration ,  47 (7/8), 391-395.  

Montgomery, A., Patrician, P., & Azuero, A. (2021). Nurse burnout syndrome and work environment impact patient safety grade.  Journal Of Nursing Care Quality ,  Publish Ahead of Print .  

Wei, R., Ji, H., Li, J., & Zhang, L. (2017). Active intervention can decrease burnout in ED nurses.  Journal Of Emergency Nursing ,  43 (2), 145-149.

Yao, Y., Zhao, S., Gao, X., An, Z., Wang, S., & Li, H. et al. (2018). General self-efficacy modifies the effect of stress on burnout in nurses with different personality types.  BMC Health Services Research ,  18 (1).

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NRS 493 Grand Canyon University PICOT Literature Review

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While the implementation plan prepares students to apply their research to the problem or issue they have identified for their capstone project change proposal, the literature review enables students to map out and move into the active planning and development stages of the project.

A literature review analyzes how current research supports the PICOT, as well as identifies what is known and what is not known in the evidence. Students will use the information from the earlier PICOT Question Paper and Literature Evaluation Table assignments to develop a 750-1,000 word review that includes the following sections:

  • Introduction section
  • A comparison of research questions
  • A comparison of sample populations
  • A comparison of the limitations of the study
  • A conclusion section, incorporating recommendations for further research

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

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literature review nrs 493

Attached. Running Head: PICOT LITERATURE REVIEW Picot Literature Review Name Institution Course Date 1 PICOT LITERATURE REVIEW 2 Introduction Seniors in the managed long-term healthcare lack adequate care, which leads to most of them acquiring the severe mental illness. Most of the mental health problems reported in assisted care facilities and nursing home centers are attributed to the lack of adequate care given to these senior citizens. This paper takes the stance that a person-environment match helps residents to engage in more prosocial attitudes within two months, while those who do not get the intervention will experience aggression. This is if the caregiver gives poor services, including lack of proper or clear communication with a person with dementia, or rushing them. A Comparison of Research Questions The research question in the article by Soilemezi et al. (2019) was to explore the home environment's role and then ascertain the potential barriers and contributors in home-dementia support and care so that guidelines can be established for future research and clinical practice. According to the article, creating a home environment that is friendly to dementia patients' care is essential in modifying the home environment for effective home-based dementia care. The research question in the article by Wong & Leland (2018) was to ascertain whether the model framework of person-environment occupation improves dementia care within the home setting. Accordingly, the study reviewed past literature that has studied the interaction between occupation, person, and the environment to facilitate participation and quality dementia care for the residents of a particular home. The research question in the study by Ouyang (2018) was to ascertain whether the application of the person-environment fit theory improves the well-being of older adults of Chinese origin. The research question in the study by Jao et al. (2016) investigates the effective method of developing a person-environment apathy rating for dementia patients. The research PICOT LITERATURE REVIEW 3 question of De et al. (2018) was to examine the location, engagement, and interaction of homebased dementia care facilities in terms. A Comparison of Sample Populations Soilemezi et al. (2019) used a sample of 12 databases to conduct a systematic review of literature that has conducted qualitative research on the experience and percep...

literature review nrs 493

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NRS 493 Topic 6 Assignment Literature Review Table Grand Canyon

  • NRS 493 Professional Capstone Practicum (NRS493)
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Introduction The issue of nursing shortages and high nursing turnover is a prevalent issue across the nation. Healthcare organizations know the importance of addressing staffing issues as nursing shortages have a negative impact on patient outcomes and the quality of care provided to patients. O...

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literature review nrs 493

NRS 493 Topic (Week) 6 All Assignments and Discussion Questions Fall Grand Canyon

  • 1. Other - Nrs 493 topic 6 assignment capstone change project list of resources grand canyon
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